70-year-old grandfather degenerative changes in the spine, the combination of Chinese and Western medicine treatment effect!

(Disclaimer: This article is for general science purposes only. To protect patient privacy, relevant information in the following content has been processed.) Abstract: Degenerative changes in the spine are mainly manifested by degeneration of the spinal bones and joints and osteophytes at the joint edges and subchondral regions, which can produce spinal symptoms. In this case, the patient had pain, stiffness, and limited movement of the lumbar spine due to degenerative changes in the spine. The lumbar spine was found to have narrowing of the lumbar space, joint and vertebral body hyperplasia by frontal and lateral radiographs. Drug + acupuncture + tui-na treatment was given, and clinical symptoms were relieved and spinal activities were restored after treatment. Basic information】Male, 70 years old 【Disease type】 Degenerative changes of the spine 【Visiting hospital】 Harbin First Hospital 【Visiting time】 January 2022 【Treatment plan】Medication (indomethacin tablets, paralysis capsule) + Chinese medicine treatment (tui-na, acupuncture) 【Treatment cycle】 Hospitalization for 7 days, 3-month outpatient follow-up 【Treatment effect】 Pain relief and recovery of spinal movement I. Initial interview The patient was 70 years old and complained of lumbar pain, lumbar stiffness, and limited lumbar movement due to degenerative changes in the spine, and was unable to complete bending movements, accompanied by a feeling of tightness in the lower limbs. The results of the X-ray taken after the consultation showed that the vertebral edges and small joints of the lumbar spine had osteophytes and straightened the physiological curvature of the spine. The patient had degenerative changes in the spine, but did not have spinal nerve compression, and did not have clinical manifestations such as radiological pain and weakness in the lower limbs, which met the criteria for conservative treatment. After full communication with the patient, comprehensive conservative treatment was adopted. Firstly, the patient was given oral indomethacin tablets and palsy capsules to control inflammation and reduce pain in the acute stage, and bed rest. At the same time, the patient was instructed to undergo tui-na and acupuncture in the TCM department to help promote blood circulation. After treatment, a lumbar brace was given to protect the lumbar spine to promote the recovery of clinical symptoms. Immediately after the symptoms were reduced, lumbar back muscle exercises, such as the 5-point support method, were carried out to improve the stability of the lumbar spine by strengthening the strength of the lumbar back muscles, thereby inhibiting the rate of degenerative spinal changes and preventing the recurrence of symptoms. III. Treatment effect After 7 days of inpatient treatment through the combined use of various conservative treatment methods, the patient’s clinical symptoms such as lumbar spine pain, stiffness, restricted movement and tightness of lower limbs were significantly relieved. Through the orthopedic outpatient review, it was found that although the spinal hyperplasia was not completely corrected, the physiological curvature of the lumbar spine was partially restored, the tension and spasm of the lumbar muscles were reduced, the muscle strength was gradually enhanced, and the stability of the lumbar spine was significantly improved. After three months of continuous review, it was confirmed that the spinal condition remained stable and the degenerative changes of the spine were effectively controlled. IV. Precautions The patient’s condition was relieved by the treatment, and I was very happy for him. The current short-term treatment helped the patient to rapidly improve clinical symptoms and resume a normal life, but the long-term maintenance of the effect still requires the patient’s attention in daily life. After recovery, weight-bearing exercises and push-ups can be performed at home on their own to enhance spinal stability and effectively avoid excessive speed of degenerative changes in the spine, thus preventing recurrence of clinical symptoms that can affect daily life and work. After discharge from the hospital, if there is persistent spinal pain with spinal deformity, you should follow up with an orthopedic clinic for X-rays and MRI to confirm the degree of progression and receive appropriate treatment as soon as possible to avoid serious consequences, such as muscle atrophy and weakness of the lower limbs, deformity, and dysfunction of the bowels. If the disease is not controlled in time, the degenerative spinal changes will continue to worsen, involving not only the lumbar spine, but also the cervical spine, resulting in limited movement of the cervical and lumbar spine, and affecting the function of the lower limbs and the blood supply to the brain, resulting in serious consequences. Therefore, the above causes should be addressed in daily life to avoid rapid degenerative changes in the spine, which can affect the function of the spine. In addition to correcting poor posture, it is more important to strengthen the muscles around the spine to protect the spine through muscles, which can more effectively alleviate degenerative changes in the spine.